Is 600CC - 650CC Too Big for Me and What Are the Risks?

Question

My surgery date us is on may 9. I am 5'6 145 pounds.I am 22 years old. I just had a baby on november 10,2010. No breast feeding. I was wondering if between 600cc and 650cc is too big for me.

	I tried on the 600cc and it was looking a little small. I am getting silicone gel high profile.I am going for an unatural look.

	My surgeon says I should have the Implant over the muscle. I am worried about bottoming out and sagging.I had my consultion a week ago and I have more quesions now then before

Steven S. Carp, MD · Answer

I would be very unusal for me to place a 600cc implant.  This is large.  The risks with large implants include.

	
		bottoming out
	
		thinning of the breast tissue and skin
	
		traction rippling
	
		unnatural looking breast


	The implant needs to match your body and breast dimensions, not just be big.

Tom J. Pousti, MD · Answer

It is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "fake looking" means different things to different people and therefore prove unhelpful.
	Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
	I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
	I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
	By the way, the most common regret after this operation, is &ldquo;I wish I was bigger&rdquo;.
	I hope this helps.

George Marosan, MD · Answer

The size of the implant is based on your chest wall and breast base measurement, taking into consideration the elasticity of the breast skin and sagging of the nipples. Your board certified plastic surgeon will make the size/volume recommendations for you. You said that you are going for the "unnatural look" , but worried about bottoming out and sagging. Well, you and your surgeon's choice of 600-650cc implants will guarantee you all that. I would consider a second opinion. It is easy to change your mind now and avoid several surgeries later. Good luck.

Mathew C. Mosher, MD · Answer

When considering any Cosmetic Plastic Surgery it is often all about reconciling what you want with what you can and should have. As other surgeons have commented, your chest and breast measurements are critical for planning and achieving optimal outcomes with breast augmentation surgery. An assessment of the quality of your tissue is also very important and can give the surgeon some ability to anticipate how your breast augmentation will look in the short term and estimate your risk for complications over the longer term. You have indicated that you " tried on the 600cc and it was looking a little small".   You are focusing on the short term outcome from your surgery and not placing appropriate emphasis on the risks associated with larger implants. This is always a concern for me. Even if you want a "fake" look you need to understand that your breasts will age and sag more quickly with larger implants and revisional surgeries will likely be more complicated and expensive than the original augmentation. Only your Plastic Surgeon can give you answers and perspective to these very important questions. Make sure you are making an informed decision.

	Dr. Mosher

	Plastic Surgeon

Brooke R. Seckel, MD, FACS · Answer

Thank you for your question.  The size range that you want to have 600-650 cc  breast implants are very large and in my opinion increase the risk of complications.It is best to follow your plastic surgeons advice.  Breast implant sizing is based on  the biometric measurements of your breast and chest, and using a breast implant sizing system during which various sizes of implants can be placed into your bra to give you an idea of your final size.It is best to follow the advice of your plastic surgeon who is certified by the American Board of Plastic Surgery, is experienced in breast augmentation and has an excellent reputation in your community.

Is 600CC - 650CC Too Big for Me and What Are the Risks?

Answers (15)

Answer: 600cc implants

Answer: 600cc implants

Answer: Breast implant sizing

Answer: Breast implant sizing

Answer: Unnatural look in breast augmentation.

Answer: Unnatural look in breast augmentation.

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Answer: Big implants very likely result in "big" problems down the road.

Answer: Big implants very likely result in "big" problems down the road.

Answer: 600-650 cc breast implants are very large

Answer: 600-650 cc breast implants are very large

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Our mission is to create a world where every investment in modern beauty is Worth It.

Is 600CC - 650CC Too Big for Me and What Are the Risks?

Answers (15)

Answer: 600cc implants

Answer: 600cc implants

Answer: Breast implant sizing

Answer: Breast implant sizing

Answer: Unnatural look in breast augmentation.

Answer: Unnatural look in breast augmentation.

Recommended reading

Everything you need to know about Breast Implants

Answer: Big implants very likely result in "big" problems down the road.

Answer: Big implants very likely result in "big" problems down the road.

Answer: 600-650 cc breast implants are very large

Answer: 600-650 cc breast implants are very large

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.